High Risk Pregnancy Clinical Trial
Official title:
Functional Imaging of Human Placenta by MRI
The purpose of this study is to test the application of newly generated magnetic resonance imaging (MRI) protocols for the assessment of placental perfusion in human subjects. The primary objective is to validate and establish the utility of placental MRI in pregnant women. The study will be entirely MRI-technology based with collection of placental tissue at the time of infant delivery for later correlative studies.
The placenta provides all the nutrition from a pregnant mother to a developing fetus. A
placenta that functions normally is needed to ensure normal fetal growth and development.
Unfortunately, the placenta is the least understood human organ even though it is involved in
all pregnancy complications. The placenta is so poorly understood because our current methods
to look at it during pregnancy, like ultrasound, do not provide enough information about
placental growth and function.
This study will help provide information about:
- How the placenta grows and develops during pregnancy
- How the placenta delivers nutrients, like oxygen to the developing fetus
- If placental function using new advanced imaging tools can predict pregnancy
complications like fetal growth restriction, stillbirth, preeclampsia and preterm labor
This study will explore how blood flow to the placenta affects placental growth, fetal
growth, and oxygen delivery to the fetus. Blood flow to the placenta may determine how the
placenta supports fetal growth and development. Having a way to measure placental function
during pregnancy may provide a way to understand normal pregnancies but importantly also
identify pregnancies at increased risk for pregnancy complications.
Additionally we want to have an ancillary intrauterine growth restriction (IUGR) arm; the
objective of this ancillary study is to test the sensitivity of the placental MRI protocol in
women with confirmed cases of IUGR in the third trimester.
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